A 70 yr-old man was admitted for hypoglycemic attack. So I was asking his wife the history.
Me: "Is he on insulin or oral medication?"
Pt's wife: "He's on insulin. I'm the one who give him injection coz he can't see."
Me: "Then what happened actually?"
Pt's wife: "I also dunno la...yesterday he didn't take his dinner coz he said no appetite, then at night after I gave the insulin injection, this morning he's unresponsive!"
Me: "Did you do anything then?"
Pt's wife: "He usually wakes up early at 6am. Today he slept until 9am! I just let him sleep...waiting for him to wake up..."
Me: "Then he regained consciousness at 9am...then what did you do?"
Pt's wife: "Oh I scolded him, aiya why today you slept until so late? I'm waiting for you to wake up ah! You're late for your morning insulin injection already!"
Me: "THEN?"
Pt's wife: "Then I injected him the morning insulin...then he fainted again!"
Me: "......"
Diagnosis: Hypoglycemic attack secondary to...his wife! ;)
See this is a real example of diabetic patient with inadequate education on insulin use.
The patient probably suffered a hypoglycemic attack since last night due to missed meal, so long only he regained consciousness this morning and he was "induced" another hypoglycemic attack! I really pity the old man.
p/s: Certainly I'm not blaming the wife...it's us who didn't give enough patient education!
Saturday, January 03, 2009
Why Hypoglycemia?
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9 comments:
haha.. so kelian la the old man... =S
really hope the dr, pharmacists and nursed can educate more people..hehe..
sigh.. its the medical personnel's fault for not educating patients n their families properly =(
poor old man..
Gosh. Really pity the old man having to suffer from hypoglycemia. I thought we were brought up in a way that before taking any medicine, one should not be left empty stomach. Dr, true or not?
LOLz!! poor old man... Hypoglycemic attack secondary to...his wife! - cases like this, we find funny, but it's very real cases happening.. the wife like innocently want to gv him another jab.. i see the importance of education on diabetes and insulin care..
kesian.. need to give class to wife!
Dear: Ya i think so..><
JooJoo & zzzyun: Ya should give proper education b4 starting insulin use..
daniel: Oh some med should be taken after food or some empty stomach, depends on what med. But short-acting insulin should be given 15-30min b4 meal.
shinyin & peanut: Ya the wife is actually innocent...don't worry both of them were already given a thorough pt education..=)
ouch. but i LOL'd.
i thought the first attack was quite bad. i never expected the second one coming. my heart skipped a bit...
hope that uncle is fine.
lolz... sorry, I don't mean to laugh but I've never thought that this could happen.
If it's me, I guess it's because sometimes I would assume others to know what I know. That's not a really good thing though.
=)
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